Individual provider Active NPI

Morgan Durand Johnson, PA-C

  • Physician Assistant
  • Monroe, NC
National Provider Identifier
1144876186
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1111 Circle Dr
Monroe, NC 28112-5834
Phone
(704) 764-1818
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1111 Circle Dr
Monroe, NC 28112-5834

Mailing address

5451 Addison Dr
Charlotte, NC 28211-4138
Phone (980) 322-4882

Other practice location 1

8917 Cumberland Ct
Waxhaw, NC 28173-6572
Phone (980) 322-4882

Other practice location 2

315 W College Ave
Boiling Spring, NC 28017
Phone (704) 406-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119000591 NC Practitioner - Physician Assistant 4486065687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pediatric and Family Behavioral Health PLLCGroup PAC ID 6608287909, 7 clinicians

Practice addresses (Care Compare)

1111 Circle Dr
Monroe, NC 28112-5834
Phone (704) 764-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11553/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1144876186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 ADDISON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114138",
            "telephone_number": "980-322-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CIRCLE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125834",
            "telephone_number": "704-764-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8917 Cumberland Ct",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281736572",
            "country_code": "US",
            "telephone_number": "980-322-4882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Boiling Spring",
            "state": "NC",
            "postal_code": "28017",
            "country_code": "US",
            "telephone_number": "704-406-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MORGAN",
        "middle_name": "DURAND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.